Commercial Sign-on Form Sterling Municipal Light Department 5 Electric 5 Commercial Electric 5 Commercial Sign-on Form "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Business Name*Tax ID No*Secondary NamePhone*Email* Type of Commercial Property*OwnerTenantTax ExemptPlease select...YesNoService Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (if different) Mailing Address (if different) Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Service Start Date* Notification Preferences*EmailTextBilling Preference*EmailStandardInterested in Fiber at your location?* Yes No Security Deposit* I acknowledge there is a required security deposit, SMLD will advise amount. Setting up for ACH Payments*This section is not required.Bank AccountBank NameName on AccountRouting NumberAccount NumberAccount Type Checking Account Savings Account Please Attach Copy of Drivers Licenses Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, heic, heif, Max. file size: 25 MB, Max. files: 4. Signature*Date* At the rate and subject to Terms and Conditions as filed from time to time with the DPU of Massachusetts. I agree to abide by all rules and regulations of the Sterling Municipal Light Department and further agree to grant free and easy access to all property belonging to the SMLD (Accordance with MGL Chapter 164 Section 58.A).
